Home Health, Hospice & Durable Medical Equipment Open Door Forum**Updated September 7, 2012 - Please join us for the first in a series of monthly conference calls for an update on Affordable Care Act (ACA) implementation efforts that impact doctors, nurses, hospitals and other providers of health care. The monthly “ACA Implementation Update for Providers” will review recent announcements from HHS and its agencies, explore one or two topics with senior HHS officials and provide an opportunity for you to ask questions and share feedback.
These update calls will be held on the second Thursday of the month at 2pm ET. The call is closed to the press – but all stakeholder and interested parties are welcome to attend. Our first call will be on September 13th at 2pm ET.
WHAT: Affordable Care Act Implementation Update for Clinicians, Hospitals and other Healthcare Providers
TOPIC: Medicaid Expansion
DATE: September 13th at 2pm ET
DIAL IN: 1-888-455-2963 Passcode: 2954962
For those who are not able to join on the 13th at 2pm – a recording will be available after the call for 30 days by calling 800-570-8799 (no passcode needed).
The next ACA Implementation Update for Providers is currently scheduled for Oct 11th at 2pm ET.
**Updated September 5, 2012 - The slides for the Manual Medical Review of Therapy Claims Special Open Door Forum are now available in the Downloads section below. If you wish to participate, dial: 1-877-251-0301; Conference ID: 23782155.
**Updated August 31, 2012 - The Centers for Medicare & Medicaid Services (CMS) will hold a Special Open Door Forum on the Manual Medical Review of Therapy Claims on September 5, 2012, from 2:00pm-3:30pm, ET. If you wish to participate, dial: 1-877-251-0301; Conference ID: 23782155. Please see the Downloads section below for the announcement with full participation instructions.
**Updated August 27, 2012 - The Centers for Medicare & Medicaid Services (CMS) will hold a Special Open Door Forum on Medicare's Prior Authorization for Power Mobility Devices Demonstration on August 29, 2012, from 3:00pm-4:30pm, ET. If you wish to participate, dial: 1-800-837-1935; Conference ID: 25376830. Please see the Downloads section below for the announcement with full participation instructions and other related materials.
**Updated April 6, 2012 -The Centers for Medicare and Medicaid Services is pleased to announce the scheduled release of modifications to the Healthcare Common Procedure Coding System (HCPCS) code set. These changes have been posted to the HCPCS website at http://www.cms.gov/HCPCSReleaseCodeSets/02_HCPCS_Quarterly_Update.asp . Changes are effective on the date indicated on the update.
In response to shortage of liposomal doxorubicin (Doxil), the FDA is permitting the temporary importation of Lipodox, a brand of liposomal doxorubicin hydrochloride.
See http://www.fda gov/NewsEvents/Newsroom/PressAnnouncements/ucm292658.htm . The Centers for Medicare and Medicaid Services’ (CMS) HCPCS Quarterly update includes 2 new codes (Q2048 and Q2049) for liposomal doxorubicin that will become effective July 1, 2012. The code descriptors are worded in a manner that distinguishes Lipodox and Doxil. As of July 1, 2012, HCPCS code J9001 will not be used for Medicare billing. CMS will release a Change Request (CR) with additional instructions in the near future.
Home Health, Hospice, and Durable Medical Equipment Open Door Forum (ODF) Overview:
The Home Health, Hospice & Durable Medical Equipment ODF addresses the concerns of three unique health care areas within the Medicare & Medicaid programs. Issues related to Home Health PPS, the newly proposed competitive bidding for DME, and the Medicare Hospice benefit are all topics the forum has covered. Many of the issues covered bridge concerns within all three settings, and the combination of the topics under one Forum has been useful to many participants. We continue to hold Special ODFs when individual policy issues require special attention. Timely announcements and clarifications regarding important rulemaking, agency program initiatives, and other related areas are also included in the forums.
- Wednesday, September 5, 2012 - Slides - Manual Medical Review of Therapy Claims Special Open Door Forum [PDF, 3MB]
- Wednesday, September 5, 2012 - Announcement - Manual Medical Review of Therapy Claims Special Open Door Forum [PDF, 29KB]
- Wednesday, August 29, 2012 - Announcement - Medicare's Prior Authorization for Power Mobility Devices Demonstration Special Open Door Forum [PDF, 24KB]
- Wednesday, August 22, 2012 - Announcement - Home Health, Hospice & DME/Quality Open Door Forum [PDF, 24KB]
- July 11, 2012 - Home Health, Hospice & Durable Medical Equipment Open Door Forum Agenda [PDF, 23KB]
- A/B MAC Jurisdictions Map [PDF, 32KB]
- Home Health Agency (HHA) Center
- Hospice Center
- Durable Medical Equipment (DME) Center
- DMEPOS Competitive Bidding
- Durable Medical Equipment, Prosthetics/Orthotics & Supplies Fee Schedule
- Survey & Certification - General Information
- HCPCS - General Information
- Outcome and Assessment Information Set (OASIS)